PARK STREET DENTAL
NPI: 1174785356
· WESTBOROUGH, MA 01581
· Dentist
· NPI assigned 06/27/2008
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | NADLER, ARNOLD (DENTIST) |
| NPI Enumeration Date | 06/27/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,446 |
$51K |
| 2019 |
1,189 |
$42K |
| 2020 |
832 |
$24K |
| 2021 |
1,179 |
$35K |
| 2022 |
185 |
$6K |
| 2023 |
79 |
$2K |
| 2024 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,380 |
1,350 |
$73K |
| D0120 |
Periodic oral evaluation - established patient |
1,780 |
1,746 |
$43K |
| D0274 |
Bitewings - four radiographic images |
423 |
414 |
$15K |
| D1206 |
Topical application of fluoride varnish |
348 |
346 |
$9K |
| D1120 |
Prophylaxis - child |
155 |
153 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
256 |
250 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
372 |
350 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
237 |
190 |
$3K |